Project

Back to overview

Requesting in hospital nurses' unscheduled interprofessional interactions

English title Requesting in hospital nurses' unscheduled interprofessional interactions
Applicant González-Martínez Esther
Number 185152
Funding scheme Project funding (Div. I-III)
Research institution Unité Sociologie Département des Sciences sociales Université de Fribourg
Institution of higher education University of Fribourg - FR
Main discipline Sociology
Start/End 01.09.2019 - 31.08.2023
Approved amount 252'633.00
Show all

Keywords (7)

requesting; multimodal analysis; conversation analysis; nurses; interprofessional interaction; unscheduled interaction; hospital

Lay Summary (French)

Lead
Les infirmières ont fréquemment des interactions interprofessionnelles non planifiées à l'hôpital, qui sont cruciales pour la coordination du travail et la prise en charge des patient·e·s. Dans ce cadre, elles ont régulièrement à formuler des demandes - d'informations, d'objets ou d'actions - et à les gérer.
Lay summary

Cette recherche répond à deux questions interdépendantes: 1) comment les infirmières hospitalières produisent et gèrent des demandes, sur place et en temps réel, lors d'interactions interprofessionnelles non planifiées? et 2) comment l'organisation interactionnelle des demandes est liée à l'organisation sociale du travail à l'hôpital? Dans ce milieu, les demandes sont en effet intimement liées à des questions de division du travail et de solidarité ainsi qu'à des contraintes matérielles. Dès lors, la recherche permet d'identifier des caractéristiques formelles de l'activité de demande dont la distribution est en lien avec les identités des participant·e·s et les objets des demandes ainsi que d'autres caractéristiques des environnements institutionnels.

En termes de méthodes et de données, la recherche est basée sur des données ethnographiques et des enregistrements audio/vidéo d'interactions authentiques d'infirmières en contact avec une diversité de professionnel·le·s à l'hôpital.

Au niveau scientifique, cette recherche apporte de nouvelles connaissances sur l'organisation de l'activité de demande en milieu institutionnel et les pratiques concrètes de travail du personnel hospitalier. Au niveau pratique, il procure des indications utiles à la formation des infirmières en matière de collaboration interprofessionnelle.

Direct link to Lay Summary Last update: 01.08.2019

Responsible applicant and co-applicants

Employees

Name Institute

Project partner

Abstract

Requesting consists of asking someone to do something, responding to the request and dealing with the response. Ubiquitous in everyday life, this interactional activity is closely related to the distribution of agency and responsibility, social cohesion and human sociality (Drew, Couper-Kuhlen, 2014; Enfield, 2013). Language and bodily conduct are crucial resources and are distinctly shaped when requesting compared to, for instance, begging or ordering. They take forms that index and contribute to the production of the legitimacy and grounds of the request, the degree of entitlement of the requester, the distribution of costs and benefits, and obligations to assist and rights to decide (Drew, Couper-Kuhlen, 2014).The projected research examines requesting in hospital nurses' unscheduled interprofessional interactions. Occurring on an as-needed basis, these interactions are crucial for teamwork coordination and provision of care (Burm, Boese, Faden et al., 2018), and are strongly oriented toward enlisting coworkers and getting them involved in action (Conn, Lingard, Reeves et al., 2009). In this context, requesting is entangled with issues of division of labor, professional boundaries, cooperation and solidarity (Allen, 2001) and the specificities of distributed teams achieving closely interrelated activities under the pressure of time and material constraints (Reddy, Dourish, Pratt, 2006). The projected research tackles two interrelated questions: 1) How is requesting in hospital nurses' unscheduled interprofessional interactions sequentially organized, on the spot and in real time? and 2) How is requesting connected to the social organization of nurses' interprofessional practice at the hospital? We specifically examine formal features of request sequences (position, components, formats, order) with regard to distribution of agency, professional identifies and relationships, and material constraints. Ultimately, we pursue the identification of distributional patterns of such features across participants, the objects of requests and the interactional environments in which they occur (Haakana, Laakso, Lindström, 2009; Sidnell, 2009). In terms of methods and data, conversation and multimodal analytic approaches are deployed for the collection and analysis of audio and video recordings, supplemented by ethnographic data, documenting requesting activities in several hospitals, involving nurses in contact with a wide variety of healthcare professionals.This 48-month project will lead to a dissertation by compilation of articles in Sociology at the University of Fribourg and several oral communications and publications at scientific and professional venues. It includes collaboration with partners at the Haute Ecole de Santé Fribourg and the University of York (England). On a scientific level, the project contributes new knowledge about the organization of requesting in work interactions and the concrete practices of hospital personnel when communicating and working together, in a diversity of collaborative situations. On a practical level, it provides insight to further nurses' interprofessional training and practice in ways that take into account the potentialities and constraints of the hospital workplace.
-